Chronic Hepatitis C Infection
Conditions
Brief summary
For those chronic hepatitis C patients, who are interferon-ineligible or intolerant, there is a burning need for the development of pan-oral interferon-free regimen. The investigators examine the efficacy and safety of sofosbuvir, a NS5B nucleotide polymerase inhibitor and daclatasvir, an NS5A replication complex inhibitor in Chinese treatment-experienced cirrhosis patients with chronic G1b infection.
Detailed description
Chinese genotype 1b HCV treatment-experienced cirrhotic patients are recruited and treated with 12 weeks sofosbuvir 400 mg daily plus daclatasvir 60 mg daily. At baseline, liver stiffness measurement (LSM) using transient elastography (FibroScan®) is used to assess liver fibrosis and the single nucleotide polymorphism ofinterferon-λ 3 (IL-28, rs12979860, C or T) and IFLN4 (ss469415590, TT or ΔG) is determined. Serial measurement of plasma HCV RNA levels are performed with the use of the COBAS TaqMan real-time assay (Roche version 2.0), at baseline, Day 2,4 and 7, week 2,4 and 12, post-treatment week 12. The primary efficacy end point is a sustained virologic response 12 weeks after the end of treatment (SVR12).
Interventions
Sofosbuvir 400 mg tablet administered once daily
Daclatasvir 60mg tablet administered once daily
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients chronically infected with HCV Genotype-1b; 2. Documented evidence of relapse after completion of previous course of interferon-based regimen with or without ribavirin; 3. HCV RNA level greater than 10,000 IU/ml at screening; 4. Patients with compensated cirrhosis are permitted.
Exclusion criteria
1. Current or prior history: Clinically-significant illness (other than HCV) or any other major medical disorder that may interfere with treatment, assessment or compliance with the protocol; individuals currently under evaluation for a potentially clinically-significant illness (other than HCV) are also excluded; 2. Screening ECG with clinically significant abnormalities; 3. Laboratory results outside of acceptable ranges at screening; 4. Infection with hepatitis B virus (HBV) or human immunodeficiency virus (HIV).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of participants with sustained virologic response 12 weeks after the end of treatment (SVR12) | Post treatment Week 12 | SVR12 is defined as HCV RNA \< the lower limit of quantitation (LLOQ) (15 IU/ml) 12 weeks following the last dose of study drug |
Countries
China